DR. JAMES W COLE MD
NPI 1720040884
Radiology - Diagnostic Radiology in Lawrenceburg, IN
About Dr. James W Cole Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES W COLE MD (NPI 1720040884) is an individual diagnostic radiology provider in Lawrenceburg, Indiana, licensed in Ohio (35071430C) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of University Of Colorado School Of Medicine, Denver (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James W Cole Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show James Cole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceburg, IN 47025
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Dearborn County Hospital
- 23 clinicians in this Medicare group
Edgewood, KY 41017
- Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 41
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Dearborn Hospital
Acute Care Hospitals · Lawrenceburg, INSt Elizabeth Ft Thomas
Acute Care Hospitals · Fort Thomas, KYSt Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYSt Elizabeth Grant
Critical Access Hospitals · Williamstown, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEBURG, IN 47025
LAWRENCEBURG, IN 47025
LAWRENCBURG, IN 47025
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Cole's NPI number?
The NPI number for James Cole is 1720040884. It was assigned to this individual provider in the NPPES registry on April 4, 2006.
Where is James Cole located?
James Cole practices at 600 Wilson Creek Rd Radiology Department, Lawrenceburg, IN 47025. The listed phone number is (812) 537-8105.
What is James Cole's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is James Cole enrolled in Medicare?
Yes. James Cole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for James Cole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Cole reassigns Medicare benefits to 2 organizations: St Elizabeth Medical Center, Inc (Lawrenceburg, IN) and Radiology Associates Of Northern Kentucky, PLLC (Edgewood, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Cole accept?
Health plans from CareSource list James Cole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is James Cole affiliated with any hospitals?
According to CMS data, James Cole is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.
When was this NPI record last updated?
The NPPES record for James Cole was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.